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Editorials: POINT/COUNTERPOINT EDITORIALS |

Rebuttal From Dr Schmidt

Gregory A. Schmidt, MD, FCCP
Author and Funding Information

From the Division of Pulmonary Diseases, Critical Care, and Occupational Medicine, Department of Internal Medicine, University of Iowa.

Correspondence to: Gregory A. Schmidt, MD, FCCP, Division of Pulmonary Diseases, Critical Care, and Occupational Medicine, Department of Internal Medicine, University of Iowa, 200 Hawkins Dr, C304-GH, Iowa City, IA 52242; e-mail: Gregory-a-schmidt@uiowa.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(3):484-485. doi:10.1378/chest.10-1415
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Extract

There is much misunderstanding about what early goal-directed therapy (EGDT) is and what it is not. Many practitioners consider EGDT to consist of resuscitation within 6 h to a central venous pressure of 8 to 12 cm water and infusion of vasoconstrictors to achieve a mean arterial pressure of > 65 mm Hg. Yet, this describes treatment in the control arm of the original study.1 What distinguished EGDT was the use of venous oximetry to drive additional resuscitation (transfusion, dobutamine, and more fluid), even when traditional resuscitation goals appeared to have been met.

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